Term
| Definition of adult/pediatric |
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Definition
Adult: Age 12 or greater(12th birthday and older)
pediatric: less than or equal to 11 years old. |
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Term
| exceptions to pediatric definition rule is applicable to what policies? |
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Definition
606-withholding or termination of resucitation and determination of death.
710- Endo tracheal intubation
717-intraosseous infusion
805- EMT-D medical cardiac arrest protocols-SAED |
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Term
| Wen cardiac monitoring or a 12 lead EKG is performed, copies of rhythm strips and 12 lead EKGs shall be submitted to whom? |
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Definition
ALS Provider
Base hospital
receiving facility |
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Term
| Policy: treatment protocols shall be used as a? |
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Definition
| Basis for medical direction and control for prehospital use |
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Term
| What is the purpose to vcems general patient guidelines? |
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Definition
| to establish a consistant approach topatient care? |
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Term
| what is included in, "initial response"? |
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Definition
review dispatch information with crew members and dispatch center
-considerpotential issues(location, time of day,weather, etc) |
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Term
| what is included at "scene arrival and size-up" |
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Definition
BSI/PPE
Scene safety
determine MOI or NOI
# of patients
determine need for additonal resources
consider c-spine precautions |
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Term
| in the initial assessment , what is included under "airway"? |
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Definition
-open airway as needed, maintain c-spine if trauma suspected
-insert approprate airway adjunct if indicated
-suction if indicated
-if partial/complete foreign body obstruction is present,utilizeappropriate interventions |
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Term
| Under initial assessment "breathing", whatis included? |
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Definition
assess RATE, DEPTH, AND QUALITY of respiration
-assess lung sounds
-if respiratory effort inadequate,assist with BVM
-intiate airway management and oxygen therapy as indicated |
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Term
| under initial assessment "circulation" what is included? |
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Definition
assess skin color, temperature, and condition
-Check distal/central pulses, including capillary refill time
-control major bleeding
-initiate shock management as needed |
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Term
| under initial assessment"disability" whatis included? |
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Definition
-determine LOC
-assess pupils
-assess circulation, sensory,motor(CSM) |
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Term
| under initial assessment "exposure" what is included? |
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Definition
if indicated, remove clothing for proper assessment/treatment of injury location. attempt to maintain patient dignity
-maintain patient's body temperature at all times |
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Term
| What is the last part of Initial assessment? |
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Definition
| determine chief complaint, initiate treatment per, VCEMS policies/protocols |
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Term
| What is included included in, "history of present illness-including pertinent negatives and additional signs and symptoms" |
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Definition
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Term
| What shoud be obtained with vital signs? |
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Definition
Blood pressure/cap refill
heart rate
respirations
**ALS assessments shall include:
-cardiac rhythm
-12-lead ECG as indicated per vcems policy 726
-pulse oximetry
-capnography(after advanced airway placement) |
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Term
| OBTAIN HISTORY, including pertinent negatives |
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Definition
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Term
| PERFORM PHYSICAL EXAMINATION, per what policy(s)? |
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Definition
| trauma assessment/treatment guidelines |
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Term
| base hospital contact shall be made for all ALS patients in accordance with what policy? |
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Definition
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Term
| TRANSPORT TO APPROPRIATE FACILITY PER WHAT VCEMS GUIDELINES? |
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Definition
1.Transport and Destination Guidelines – Policy 604
2.STEMI Receiving Center Standards – Policy 430
3.Post VF/VT with ROSC – Policy 705 (Cardiac Arrest VF/VT)
4.Trauma Triage and Destination Criteria – Policy 1405
5.Hospital Diversion – Policy 402 |
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Term
| Completion of patient care documentation PER WHAT POLICY? |
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Definition
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Term
| under general treatment guidelines/medical, what should be documented? |
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Definition
| Document all assessment findings, pertinent negatives, vital signs, interventions/treatments (both initial and ongoing), responses to treatments, and all changes in patient status |
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Term
| CPAP CONTRAINDICATIONS- Abosolute |
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Definition
Contraindications:
1. Absolute
a. Respiratory or cardiac arrest
b. Agonal respirations
c. Unconsciousness
e. Pneumothorax
f. Inability to maintain airway patency
g. Head injury with increased ICP |
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Term
| cpap contraindications-relative |
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Definition
a. Decreased LOC
b. Unable to tolerate mask
c. Systolic blood pressure < 90
d. Vomiting |
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